{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T15:59:32Z","timestamp":1790783972541,"version":"4.1.0"},"reference-count":36,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,4,17]],"date-time":"2017-04-17T00:00:00Z","timestamp":1492387200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Interven Cardiology"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To assess post\u2010procedural outcomes when Impella 2.5 percutaneous left ventricular assist device (pLVAD) support is initiated either prior to or after percutaneous coronary intervention (PCI) on unprotected left main coronary artery (ULMCA) culprit lesion in the context of acute myocardial infarction cardiogenic shock (AMICS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Initiation of Impella 2.5 pLVAD prior to PCI is associated with significant survival benefit in the setting of AMICS. Outcomes of those presenting with a ULMCA culprit lesion in this setting have not been well characterized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Thirty\u2010six consecutive patients in the cVAD Registry supported with Impella 2.5 pLVAD for AMICS who underwent PCI on ULMCA culprit lesion were included in our multicenter study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The average age was 69.8\u2009\u00b1\u200914.2 years, 77.8% were male, 72.7% were in CS at admission, 44.4% sustained one or multiple cardiac arrests, and 30.6% had anoxic brain injury. Baseline characteristics were comparable between the Pre\u2010PCI group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200920) and Post\u2010PCI group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200916). Non\u2010ST segment elevation myocardial infarction and greater coronary disease burden were significantly more frequent in the Pre\u2010PCI group but they had significantly better survival to discharge (55.0% vs 18.8%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.041). Kaplan\u2010Meier 30\u2010day survival analysis showed very poor survival in Post\u2010PCI group (48.1% vs 12.5%, Log\u2010Rank\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.004).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Initiation of Impella 2.5 pLVAD prior to as compared with after PCI of ULMCA for AMICS culprit lesion is associated with significant early survival. As previously described, patients supported after PCI appear to have very poor survival at 30 days.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joic.12377","type":"journal-article","created":{"date-parts":[[2017,4,17]],"date-time":"2017-04-17T05:26:41Z","timestamp":1492406801000},"page":"256-263","source":"Crossref","is-referenced-by-count":55,"title":["Impella 2.5 initiated prior to unprotected left main PCI in acute myocardial infarction complicated by cardiogenic shock improves early survival"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6350-4666","authenticated-orcid":false,"given":"Perwaiz M.","family":"Meraj","sequence":"first","affiliation":[{"name":"Department of Cardiology Northwell Health Manhasset New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajkumar","family":"Doshi","sequence":"additional","affiliation":[{"name":"Department of Cardiology Northwell Health Manhasset New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodore","family":"Schreiber","sequence":"additional","affiliation":[{"name":"Department of Cardiology Detroit Medical Center Detroit Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brijeshwar","family":"Maini","sequence":"additional","affiliation":[{"name":"Department of Interventional Cardiology and Transcatheter Therapy Charles E. Schmidt College of Medicine Delray Beach Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William W.","family":"O'Neill","sequence":"additional","affiliation":[{"name":"Department of Interventional Cardiology and Structural Heart Henry Ford Medical Center Detroit Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,4,17]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199904153401504"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(95)00215-P"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(78)90173-0"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.eurheartj.a060555"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2014.04.011"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(84)90613-1"},{"key":"e_1_2_7_8_1","first-page":"II65","article-title":"Prognosis and management of anterolateral myocardial infarction in patients with severe left main disease and cardiogenic shock. 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